Volume 23 Issue 9
Sep.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(9): 1461-1465
ZHAO Linlin, CHANG Bingjie, HU Qinghua, DU Juan, SHAO Shuang. Research on the factors influencing multidimensional frailty among the comorbid elderly based on health ecology model[J]. Chinese Journal of General Practice, 2025, 23(9): 1461-1465. doi: 10.16766/j.cnki.issn.1674-4152.004155
Citation: ZHAO Linlin, CHANG Bingjie, HU Qinghua, DU Juan, SHAO Shuang. Research on the factors influencing multidimensional frailty among the comorbid elderly based on health ecology model[J]. Chinese Journal of General Practice, 2025, 23(9): 1461-1465. doi: 10.16766/j.cnki.issn.1674-4152.004155
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Research on the factors influencing multidimensional frailty among the comorbid elderly based on health ecology model

doi: 10.16766/j.cnki.issn.1674-4152.004155

  • School of General Practice and Continuing Education, Capital Medical University, Beijing 100069, China

Funds:

 学科骨干-03-26

 2023ZD0509600

  • Received Date: 2024-10-08
    Available Online: 2025-11-17
    Abstract
  •   Objective  The study aimed to explore the factors influencing multidimensional frailty in the comorbid elderly from an integrated perspective.  Methods  The stratified cluster sampling method was used to recruit comorbid elderly patients from four community health centers in urban Beijing. Logistic regression analyses were performed based on the health ecology model, using the presence or absence of multidimensional, physical, psychological, and social frailty as the respective dependent variables.  Results  Of the 919 comorbid participants, the prevalence rates of physical, psychological, social, and multidimensional frailty were 33.62% (309 cases), 47.66% (438 cases), 16.43% (151 cases), and 42.55% (391 cases), respectively. The results of the multifactorial analysis showed that the advanced age, greater number of comorbidities, multiple medication types, sedentary time, health empowerment, family caring, and social participation are factors influencing multidimensional frailty in comorbid elderly. The number of comorbidities≥4 was a risk factor for physical frailty. Family caring was a co-protective factor for physical-psycho-social frailty. Health empowerment was a protective factor against both physical and psychological frailty, while social participation was a protective factor against physical frailty.  Conclusion  Individual behavioral characteristics, family caring, and social participation exert different degrees of influence on the multidimensional frailty in comorbid elderly.

     

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